Nitcher v. Northshore Regional Medical Center

182 So. 3d 121, 2014 La.App. 1 Cir. 1291, 2015 La. App. LEXIS 1736, 2015 WL 5474478
CourtLouisiana Court of Appeal
DecidedSeptember 18, 2015
DocketNo. 2014 CA 1291
StatusPublished

This text of 182 So. 3d 121 (Nitcher v. Northshore Regional Medical Center) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nitcher v. Northshore Regional Medical Center, 182 So. 3d 121, 2014 La.App. 1 Cir. 1291, 2015 La. App. LEXIS 1736, 2015 WL 5474478 (La. Ct. App. 2015).

Opinions

HIGGINBOTHAM, J.

|2In this workers’ compensation case, Northshore Regional Medical Center, the employer, appeals an order of the workers’ compensation judge wherein the judge denied Northshore’s motion as requested for an offset of $115.52 per week against its payment of disability workers’ compensation benefits to its former employee, Stephanie Nitcher, due to payments .of disability benefits by the, Social Security [122]*122Administration. The workers’ compensation judge ordered a reduced offset of $49.71 per week, which considered Nitcher’s payment of attorney fees. The specific issue on appeal is whether attorney fees, owed by Nitcher to her attorney, should be deducted in calculating the offset provided for in La. R.S. 23:1225(A).

FACTS AND PROCEDURAL HISTORY

Stephanie Nitcher was a respiratory therapist employed at Northshore Regional Medical Center when she was injured in an accident at work. She filed a disputed claim for compensation claiming entitlement to temporary or permanent total disability benefits, continued medical treatment, penalties, and attorney fees. See Nitcher v. Northshore Regional Medical Center, 2011-1761 (La.App 1st Cir. 5/2/12), 92 So.3d 1001, writ denied, 2012-1230 (La.9/21/12), 98 So.3d 342. After an appeal to this court, in two judgments signed on October 30, 2012, Northshore was ordered to pay workers’ compensation benefits to Nitcher, including $86,871.84 in past due indemnity benefits, $13,181.13 in interest on past due indemnity benefits, and $550.47 in appeal costs. Further, Northshore was ordered to pay Nitcher permanent total disability benefits in the amount of $329.06 per week from the date of judgment forward. There was no judicial award of attorney fees or penalties.

In addition to the workers’ compensation benefits for permanent total disability, Nitcher is receiving social security disability benefits under 42 U.S.C. § 423.

|aOn December 19, 2013, Northshore filed a “Motion for Recognition of Right to Social Security Offset.” The purpose of its motion was to judicially invoke the offset provision provided for by La. R.S. 23:1225(A), which allows an employer to offset when the employee is receiving both permanent total disability benefits under the state workers’ compensation system and disability benefits under the federal social security system. Northshore sought an order allowing it to offset the workers’ compensation benefits paid by Northshore to Nitcher in the amount of $115.52 per week.

Prior to the hearing on Northshore’s motion for an offset, Nitcher’s attorney filed a “Motion and Order for Approval of Attorney’s Fees,” required under La. R.S. 23:1141, for services rendered to obtain weekly workers’ compensation benefits paid to Nitcher from February 22, 2013, through April 1, 2014. In a judgment signed on April 11, 2014, the workers’ compensation judge approved Nitcher’s attorney receiving fees of 20% of Nitcher’s weekly payments of $329.06 per week, resulting in attorney fees of $65.81 per week owed by Nitcher.

In a prehearing statement received by the workers’ compensation court on April 8, 2014, regarding Northshore’s motion for the offset, Nitcher did not dispute North-shore’s entitlement to an offset, but disagreed with Northshore’s calculation of the offset. Specifically, Nitcher contends that Northshore should deduct the court approved attorney fees from her weekly workers’ compensation payments prior to calculating the offset.

Northshore’s motion for offset was heard by the workers’ compensation judge on February 20, 2015, after which a judgment was signed denying Northshore’s Motion for Recognition of Right to Social Security Offset, in the amount of $115.52 by interpreting La. R.S. 23:1225(A) to mandate that attorney fees owed by Nitcher be included in the calculation to determine the offset. The workers’ compensation judge agreed with Nitcher and ordered an offset of $49.71 per week, resulting inJjNorthshore owing Nitcher per[123]*123manent total disability benefits in the amount of $279.35 per week.1

It is from this judgment that North-shore appeals, contending that the workers’ compensation judge erred in denying its Motion for Recognition of Right to Social Security Offset in the amount of $115.52, and in ruling that La. R.S. 23:1225(A) mandates that the attorney fees owed by Nitcher, be deducted prior to a determination of the offset due to North-shore.

SOCIAL SECURITY OFFSET

Pursuant to 42 U.S.C. § 424a provides that for any month an individual, prior to the month in which they attain retirement age, receives social security disability benefits, as well as. state workers’ compensation benefits, the federal benefit must be reduced in order that the combined benefits do not exceed eighty percent of the claimant’s pre-disability earnings. Moreover, 42 U.S.C. § 424a(d) recognizes an exception to this rule by allowing states to reverse the offset scheme, thereby permitting a claimant to collect the entire amount of the social security disability benefits and only part of the state benefits necessary to bring the total benefits up to the eighty percent amount. Regnier v. Department of Labor & Indus. of Wash., 110 Wash.2d 60, 749 P.2d 1299, 1300-01 (1988) (en banc).

The Louisiana Legislature took advantage of the reverse provision in enacting La. R.S. 23:1225(A), which provides as follows:

The benefits provided for in this Sub-part for injuries producing permanent , total disability shall-be reduced when the person receiving benefits under this Chapter is entitled to and receiving benefits under 42 -U.S.C. Chapter 7, Sub-chapter II,. entitled Federal Old Age, Survivors, and Disability Insurance Benefits, on the basis of the wages Land self-employment income of an individual entitled to and receiving benefits under 42 U.S.C. § 423; provided that this -reduction shall be made only to the extent that the amount of the combined federal and workers’ compensation benefits would otherwise cause or result in a reduction of the benefits payable under the Federal Old Age) Survivors, and Disability Insurance Act pursuant to 42 U.S.C. § 424a, and in no event will the benefits provided in this Subpart, together with those provided under the federal law, exceed those that' would have been payable had the benefits provided under the federal law been subject to reduction under 42 U.S.C. § 424a. However, there shall be no reduction in benefits'provided under this Section for the cost-of-living increases granted under the federal law after the date of the employee’s injury.

Explaining the purpose of La. R.S. 23:1225, the court in Lofton stated that it was intended “to give the compensation carrier, rather than the federal government, -the benefit of the ceiling placed on both programs by the coordination of benefits.” Lofton v. Louisiana Pacific Corp.,.

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Bluebook (online)
182 So. 3d 121, 2014 La.App. 1 Cir. 1291, 2015 La. App. LEXIS 1736, 2015 WL 5474478, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nitcher-v-northshore-regional-medical-center-lactapp-2015.